The art of balance in health policy : maintaining Japan's low-cost, egalitarian system
著者
書誌事項
The art of balance in health policy : maintaining Japan's low-cost, egalitarian system
Cambridge University Press, 1998
- : pbk
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注記
Includes bibliographical references and index
2008: Digitally printed version
内容説明・目次
内容説明
Compared to the rest of the world, Japan has a healthy population but pays relatively little for medical care. This book analyses how the health care works, and how it came into being. Taking a comparative perspective, the authors describe the politics of health care, the variety of providers, the universal health insurance system, and how the fee-schedule constrains costs at both the macro and micro levels. Special attention is paid to issues of quality and to the difficult problems of assuring adequate high-tech medicine and long-term care. Although the authors discuss the drawbacks to Japan's stringent cost-containment policy, they also keep in mind the possible implications for reform in the United States. Egalitarian values and a concern for 'balance' among constituents, the authors argue, are essential for cost containment as well as for access to health care.
目次
- Preface
- 1. Low health care spending in Japan
- 2. Actors, arenas, and agendas in health policy making
- 3. Health care providers
- 4. The egalitarian health insurance system
- 5. The macropolicy of cost containment
- 6. The micropolicy of cost containment
- 7. The quality problem
- 8. Lessons?
- 9. Notes.
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